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i 9 Q <br />f SUBMIT EVIDENCE TI-L4T EQUIPMENT <br />COI\;PLIES WITH THE STANDARDS OF / <br />1:11F. UNDERWRITERS' LABORATORY. <br />INSPECTION OF SIGN REQUIRED <br />BEFORE ERECTION. <br />CALL 259-87.15 FOR INSPECTION. <br />u Date <br />APPLICATION FOR <br />The undersil-ned owner hereby agrees to hold and save harmless the Citv <br />of Everett from any and all cl.,:ms for damages that may arise because of <br />installation of the improvemen•_ .icreto applied for, and further agrees to <br />remove same upon notice from the City and to replace all public property <br />damaged thereby. <br />VALUE: <br />'s <br />CIRCUITS: <br />a? N1 t.—. G <br />3 - 3 -7 S� <br />Signed <br />Owner <br />Contractor <br />